NPI | 1215439609 |
---|---|
Doing Business As | BROADWAY DISCOUNT PHARMACY |
Entity Type | Organization |
Authorized Contact | SAMIR DHADUK Owner 201-916-7123 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: FL PH31216) |
Enumeration Date | 2018-03-01 |
Last Update Date | 2019-06-25 |